Jeremy Boutwell II

NPI #1134800618 in Somerset, Kentucky

Provider Information

NPI Number
1134800618
Entity Type
Individual
Name
Jeremy Boutwell II
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Peer Specialist
Enumeration Date
Jul 27, 2023
Last Updated
Jul 27, 2023

Practice Location

Address
233 PARKERS MILL WAY
ZIP Code
42503-4152
Phone
(606) 341-4906

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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